Document Type : Review
Authors
1
Health Economic Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
3
Department of Health Services Management, North Tehran Branch, Islamic Azad University, Health Economic Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
Abstract
Background and Aim: Obtaining informed consent from patients is one of the fundamental pillars in providing health and medical services, which helps uphold patients' rights and improve the quality of care. This study aimed to identify and examine the barriers and facilitators to obtaining patients' informed consent.
Methods: This study employed a scoping review method using the Arksey and O'Malley framework. The databases reviewed included PubMed, CINAHL, Cochrane Library, Scopus, Web of Science, and SID. After excluding unrelated articles, 47 relevant studies were included in the final analysis.
Results: Facilitators of informed consent were categorized into three levels: individual, interpersonal, organizational, and environmental. Conversely, barriers affecting informed consent were classified into seven components: communicational, economic, psychological, cultural and social, organizational, legal and ethical, and informational.
Conclusion: To enhance informed consent among patients, it is crucial to identify and address existing barriers while strengthening facilitators. This requires close collaboration among physicians, healthcare staff, families, and patients themselves. By fostering a supportive and educational environment, we can empower patients to make more informed decisions, thereby improving the overall quality of health and medical services.
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